KASSANDRA COOPER TUCKER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141635

License Status

NOT RENEWED

Business

Title

First Name

KASSANDRA

Middle

COOPER

Last Name

TUCKER

Business Name

KASSANDRA COOPER TUCKER DO

Original Issue Date

09/01/2016

Effective Date

09/01/2016

Expiration Date

07/31/2017

City

RIPON

State

Zip

95366

Ever Disciplined

LastModifiedDate

11/01/2017